Quarterly Compentency Based Assessment for Family Medicine

Instructions

A number of specific physician competencies are provided below, grouped by general AOA Core Cometencies. Rate how well the intern/resident currently meets each specific competency using the scale 0=deficient to 5=exceptional

* RESIDENT NAME

Quarter

*

Osteopathic Philosophy and Osteopathic Manipulative Medicine 1=poor 3=average 5=excellent

* Recognizes clinical situations where OMT is appropriate

* Shows understanding of somato-visceral relationships and the role of the musculoskeletal system in disease

* Provides accurate structural diagnosis

* Performs appropriate OMT as a procedural skill

* Takes each patient's illness into account when dealing with that individual

* Provides osteopathic health care services using behavioral medicine

* Advocate for patient's welfare, autonomy and quality of care

* Comments

Medical Knowledge

1=poor 3=average 5=excellent

* Gathers essential information for physical examinations

* Gathers essential information for medical records

* Gathers essential information for diagnostic or therapeutic plans

* Gathers essential information for treatments

* Treats patients with the most up-to-date and evidenced based information on therapeutic effectiveness

* Comments

Patient Care 1=poor 3=average 5=excellent

* Demonstrates up-to-date biomedical knowledge and applies that knowledge to patient care

* Demonstrates up-to-date clinical knowledge and pllies that knowledge effectively to patient care

* Shows good clinical judgement; reaches valid decisions

* Treats patients with up-to-date and evidence-based information on diagnostic effectiveness

* Performs procedures properly

* Comments

Professionalism 1=poor 3=average 5=excellent

* Maintains patient confidentiality

* Shows respect for patients and families

* Shows respect for co-workers and hospital and clinic personel

* Demonstrates integrity

* Acts responsibly. Is available when needed. Carries a fair share of the workload

* Communicates well in discussions with health professionals

* Works respectfully and effectively with others as a member of a healthcare team

* Understands the resident's role as a health care team member

* Comments

Practice-based learning and improvement 1=poor 3=average 5=excellent

* Understands research methods

* Understands medical informatics

* Understands and uses technoligy as aplied to medicine

* Comments

Interpersonal and Communication Skills 1=poor 3=average 5=excellent

* Develops and maintains appropriate doctor-patient relationships

* Writes clearly and legibly in communication with patients and health care workers

* Writes clearly and legibly when making records

* Listens well when meeting and treating patients

* Listens well in encounters with health care professionals

* Exhibits effective oral communication skills when interviewing patients and their families

* Comments

Systems-based Practice

1=poor 3=average 5=excellent

* Understands the business side of medical practice

* Shows operational knowledge of health care organizations, state and federal programs

* Knows and uses local medical resources available to patients for treatment and referral

* Practices cost-effective medicine

* Comments

* Logs and Evaluations are current

Yes

No

* Intern/Resident is progressing satisfactorily in relation to OGME level(check as appropriate)

yes

no

* Reviewed with Intern/Resident on:

* Program Director's signature

* Indicates Response Required